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| Regulation | LIS Non-Compliance Area | Correction Required | Plans of Correction | Correction Date | POC Status |
| 6400.68(b) | On 4/12/2023, the water temperature measured 133.8 degrees Fahrenheit at 11:00am at the bathtub in bathroom #1.
On 4/12/2023, the water temperature measured 136.0 degrees Fahrenheit at 11:04am in bathroom #2. | Hot water temperatures in bathtubs and showers may not exceed 120°F. | The Director contacted Logan Ferry House Supervisor on 4/12/2023 who decreased the water tank temperature. On 4/13/2023, the temperature was 103°F. (Pic #1) The House Supervisor increased the water tank temperature until it reached 116ºF. The House Supervisor was retrained on the Running Water Policy on 4/13/2023. (Pic #2) [Documentation via photograph of water temperature at 103.6 degrees Fahrenheit, dated 4/13/23, was received on 5/10/23 and reviewed 5/22/23. Documentation of training, dated 4/13/23, related to "Running Water Policy" was received on 5/10/23 and reviewed 5/22/23. Documentation of training for all residential staff, completed between 5/6/23 and 5/9/23, related to "POC Training: Running Water, Surfaces and Lighting, Unobstructed Egress, Fire Evacuation" was received on 5/10/23 and reviewed 5/22/23. DPOC by HDKP, HSLS, on 5/22/23]. |
05/08/2023
| Implemented |
| 6400.112(f) | The fire drill conducted 5/11/2022 had the individuals use the garage door as the exit route. The garage does not contain a swing door as an egress. | Alternate exit routes shall be used during fire drills. | The Fire Drill form and the Fire Drill Policy was updated on 5/4/2023 (Pic #5) to include the statement that a garage door cannot be used as a fire drill exit. A fire drill using the updated form was run on 5/4/2023 with all individuals present. (Pic #7) Staff discussed with the individuals that they would not be using the garage door as a fire drill exit. [Documentation of the Fire Drill Policy and TLHHC Monthly Fire Drill Report were received on 5/10/23 and reviewed 5/22/23. Documentation of training for all residential staff, completed between 5/6/23 and 5/9/23, related to "POC Training: Running Water, Surfaces and Lighting, Unobstructed Egress, Fire Evacuation" was received on 5/10/23 and reviewed 5/22/23. DPOC by HDKP, HSLS, on 5/22/23]. |
05/08/2023
| Implemented |
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| Regulation | LIS Non-Compliance Area | Correction Required | Plans of Correction | Correction Date | POC Status |
| 6400.141(c)(3) | Individual #1, date of birth 4-4-88, has not been immunized against Tetanus, Diphtheria and Pertussis. | The physical examination shall include: Immunizations for individuals 18 years of age or older as recommended by the United States Public Health Service, Centers for Disease Control, Atlanta, Georgia 30333. | 1. Individual's Tetanus/Diptheria immunization was scheduled by IDD/Health Manager and
administered on 4/22/22.
2. Admissions Policy reviewed by Compliance Team to verify that Tetnanus/Diptheria immunization status was present as one of the requirements for admission.
3. IDD/Health Manager who monitors individual health needs and appointments, along with the rest of administrative staff, were retrained on the company¿s Admissions Policy. |
04/22/2022
| Implemented |
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